Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles

Original Article

To Evaluate Early Feed vs Late Feed in Post-lower-segment Cesarean Section Patients at a Tertiary Care Center: A Randomized Controlled Study

Vaishali Choudhari, Yogini Patil, Kamalapriya Thiyagarajan, Kshama Shah, Vijaykumar Gawali

Keywords : Cesarean, Early feed, Late feed, Postoperative ileus, Satisfaction

Citation Information : Choudhari V, Patil Y, Thiyagarajan K, Shah K, Gawali V. To Evaluate Early Feed vs Late Feed in Post-lower-segment Cesarean Section Patients at a Tertiary Care Center: A Randomized Controlled Study. J South Asian Feder Obs Gynae 2023; 15 (4):385-388.

DOI: 10.5005/jp-journals-10006-2265

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Cesarean section is one of the routinely performed surgeries in gynecology and obstetrics. Deliveries done by cesarean section have been seen to impact the postoperative feed in women. Usually, postdelivery by cesarean section the woman is given food through intravenous (IV). The feed is not given to the mother by mouth for some amount of time which is based on the opinion of different clinicians and hospitals. There is an assumption noted that if early feeds are given then the patient might suffer from postoperative ileus. This assumption, however, has not been evidenced by the available literature. It has been noted that early feed aids in faster recovery, quicker wound healing, and early discharge from the hospital. Therefore, early feed postcesarean operation is generally emphasized. Materials and methods: This was a prospective, single-centre, randomized controlled study conducted over a period of 1 year from 2020–2021. Subjects were randomized into group I (early feed) and group II (late feed). Various parameters were assessed and compared statistically in both groups. Results: Various functions and complications of gastrointestinal indications and psychosomatic parameters related to postoperative cesarean delivery were evaluated, and it was observed that there is no statistically significant difference between the early feed and the late feed. Conclusion: Early oral intake of food is safe and well tolerated; clinical outcomes are similar to delayed feeding. It does not cause a significant increase in postoperative paralytic ileus, and the results are equally good for patient satisfaction when compared with delayed feeding.


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